| NPI | 1821304338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301108977) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2010015535) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2010015535) | |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2016-06-02 |